DEPARTMENT OF INSURANCE

Affiliations

Name	Bernhardt, Jon Quinton	DOIID	305387	NAIC NPN	7158055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	7/1/2004
Inactive	Resident	Agent	Life	9/4/1996	7/1/2004
Inactive	Resident	Agent	Health	9/11/1996	7/1/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/18/2001	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/12/2001	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/12/2001	7/1/2004
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	9/11/1996	7/1/2004
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	9/11/1996	7/1/2004
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Health	11/9/1998	7/1/2004
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	11/9/1998	7/1/2004
Denied	Athene Annuity and Life Company	301893	Agent - Life
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/31/2000	10/14/2003
Inactive	Canada Life Insurance Company of America	301100	Agent - Variable Life and Variable Annuities	5/21/2001	12/22/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/17/2000	7/1/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/17/2000	7/1/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/27/2001	3/14/2003
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/27/2001	3/14/2003
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/14/2001	4/5/2004
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/14/2001	4/5/2004
Inactive	Continental Casualty Company	301019	Agent - Health	2/17/1998	10/25/2002
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	3/8/2000	6/27/2000
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	3/8/2000	6/27/2000
Inactive	Equitable Financial Life and Annuity Company	301833	Agent - Life	3/8/2000	6/27/2000
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/15/2001	6/21/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/4/2000	7/1/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/4/2000	7/1/2004
Inactive	First Variable Life Insurance Company	300644	Agent - Life	8/22/2000	3/31/2003
Inactive	First Variable Life Insurance Company	300644	Agent - Variable Life and Variable Annuities	4/30/2001	3/31/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	9/17/1996	1/22/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/6/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Health	7/6/2001	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	7/6/2001	9/12/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/21/2000	12/11/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/21/2000	12/11/2003
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/10/2000	7/1/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/10/2000	7/1/2004
Inactive	Manufacturers Life Insurance Company of America (The)	300618	Agent - Life	7/31/2000	12/31/2001
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	9/4/1996	1/22/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/2/1998	5/10/2002
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	12/14/2001	7/29/2002
Inactive	Penn Insurance and Annuity Company	300712	Agent - Variable Life and Variable Annuities	12/17/2001	7/1/2004
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	12/14/2001	7/29/2002
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Variable Life and Variable Annuities	12/17/2001	7/1/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/29/2002	5/12/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/29/2002	5/12/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/25/1997	7/1/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/25/1997	7/1/2004
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	7/31/2000	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	7/31/2000	11/19/2003
Inactive	Time Insurance Company	300683	Agent - Health	9/14/2000	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Life	9/14/2000	7/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/13/2001	5/12/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/13/2001	5/12/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/8/2001	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/8/2001	7/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	8/21/2000	12/17/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	4/19/2002	7/1/2004
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	4/19/2002	7/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	2/16/1999	7/1/2004
Inactive	Wilco Life Insurance Company	300122	Agent - Life	7/18/2000	9/10/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Equity Investment Corp.	547629	Agent - Life	5/13/2002	2/17/2003
Inactive	American Equity Investment Corp.	547629	Agent - Variable Life and Variable Annuities	5/13/2002	2/17/2003
Inactive	Commonwealth Bank & Trust Company	400910	Agent - Health	3/22/2004	7/1/2004
Inactive	Commonwealth Bank & Trust Company	400910	Agent - Life	3/22/2004	7/1/2004
Inactive	Commonwealth Bank & Trust Company	400910	Agent - Variable Life and Variable Annuities	4/26/2004	7/1/2004
Inactive	Retirement Care Services Inc.	400406	Agent - Health	2/18/1997	2/26/2003
Inactive	Retirement Care Services Inc.	400406	Agent - Life	2/18/1997	2/26/2003
Inactive	Richard B Vance & Company	399961	Agent - Life	9/11/2001	2/10/2004
Inactive	Richard B Vance & Company	399961	Agent - Variable Life and Variable Annuities	9/11/2001	2/10/2004